KACHIPORN PHANGMUANGDEE - Registered Nurse License in Illinois | # 041130928

KACHIPORN PHANGMUANGDEE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130928

License Status

NOT RENEWED

Business

N

First Name

KACHIPORN

Last Name

PHANGMUANGDEE

Business Name

KACHIPORN PHANGMUANGDEE

Original Issue Date

05/19/1969

Effective Date

05/19/1969

Expiration Date

05/31/1988

City

MORTON GROVE

State

IL

Zip

60053

County

COOK

Ever Disciplined

N

LastModifiedDate

09/27/2006